NPI | 1427241678 |
---|---|
Former Name | AMY MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 133N00000X Nutritionist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5472) |
Enumeration Date | 2007-08-21 |
Last Update Date | 2024-10-22 |